Basham, Shannon Marie

Basham, Shannon Marie is an individual health care provider with primary practice located at 830 A1A N Suite 1, Ponte Vedra Beach FL 32082-3287. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Basham, Shannon Marie can be contacted via phone (904) 273-2232.

Contact Information

Primary practice address
830 A1A N Suite 1 Ponte Vedra Beach FL 32082-3287
Phone: (904) 273-2232
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY 1361 Florida

Profile Details

NPI number 1356452627
LBN Legal business name Basham, Shannon Marie
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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